| NPI | 1871261875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MI 4704335521) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704335521) |
| 163W00000X Registered Nurse (Licence: MI 4704335521) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MI 4704335521) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |